In reply to your question it is both. Theposition in the face if off and because of this the diopters is also off. I would also like to say I am not against vitamins as I take a lot of them but in the right amount. They really help. It has been 5 years since I posted this so I would also like to up date you all. The prisims in my glasses have just been improveing my condition. The longer I wear them the more things changed, for the better. I have to admit I went back on xanax because even though my eyes were improveing I couldn't convince my mind that things were under control. I have went back on a very low dose of xanax. I now take one half of a 0.5 mg tablet just to get me out the door, so maybe I take two a week. I have had this condition for over 40 years it is hard to tell my brain that this is the new normal. I drive, I go places alone and best of all when I feel the dizzyness I know what is wrong. These glasses are like a wheel chair to a person that can't walk he still has the problem but now he can function in it. This is a physical disability just like any other physical disability and you should look at it like that. There is no way to move your eyes permantly but this is the wheel chair to help you function with it. Not everybody with panic attacks have this but I think a large percentage of them do and most of the eye doctors don't check for it and even if they did they really don't know how to correct it. The earlier you catch it the more your chances are of total success. I am now 95% improved and am very thankful for that. The web site for Dr. Debbie is http://www.vsofb.com
or just put vision specialists of Birmingham in google and it will come up. I hope this will help those who are suffering from this crippling disability. God Bless, Yolanda